Dietetics

SASH dietetics is a vibrant and friendly team of qualified dietitians who are all registered with the Health and Care Professions Council.

Registered dietitians are uniquely qualified to translate scientific information about food into practical dietary advice. We provide high quality, evidence-based impartial advice about nutrition and health as well as clinical advice about food-related problems in connection with the treatment of disease and ill health.

We provide both adult and paediatric services to inpatients across a wide range of specialties, as well as an outpatient services for patients who have been referred by their hospital consultant. Our dietitians work closely with the multidisciplinary teams and liaise with community services to ensure a safe and supported discharge when our patients leave hospital.

We also offer training, education, support and advice on nutrition related issues to other health professionals and teams within the Trust.

Services

Most of our services are focused towards providing adult nutritional support. Our clinical experts spend time providing nutritional support for patients. Our team also provides specialist dietetic advice for gastroenterology, critical care, paediatric nutritional services, surgery and stroke.

  • Gastroenterology

    The gastroenterology dietitian provides an inpatient service to Charlwood Ward. Gastroenterology conditions, which often require tailored dietary advice, include Crohn’s disease, ulcerative colitis, diverticular disease, liver disease and cancers of the GI tract. The pPatients with these conditions usually require nutritional support (either oral, enteral or parenteral) to treat malnutrition as well as dietary modifications to alleviate symptoms.

    The gastroenterology dietitian also provides an outpatient service to patients with conditions including coeliac disease and irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Outpatient referrals are accepted for patients who are under a SASH consultants.
    The gastroenterology dietitian is able to deliver the Low FODMAP Diet intervention for gastroenterology patients with functional bowel symptoms/IBS.

    Contact the gastroenterology dietitian on bleep 758.

  • Critical care

    The senior dietitian lead for adult nutrition support is the departmental lead for enteral and parenteral nutrition (PN), including policy development, and provides an inpatient service to critical care (ICU/HDU) and the surgical ward within the digestive diseases unit. Nutrition support will include feeding via oral, enteral and parenteral feeding routes.

    Parenteral nutrition

    The dietitian is responsible for assessing the patient’s nutritional status and estimating appropriate nutrition requirements within 24 hours of referral (Monday to Friday). They will advise on the appropriateness of parenteral nutrition and any alternative enteral routes, consulting medical staff within the primary referring team and the nutrition team as appropriate.

    The dietitian will:

    • Select an appropriate feeding regimen and will liaise with the ward pharmacist or designated PN pharmacist regarding the regimen required
    • Consult with the nutrition team as appropriate and review the patient, to ensure optimal nutrition is maintained throughout according to the patient’s clinical status

    The dietitian also attends the nutrition team ward round on a Tuesday morning. On this day all patients at SASH who are receiving PN therapy will be reviewed with the consultant gastroenterologist lead for nutrition. The consultant leads the nutrition ward round and provides clinical input into the decisions relating to nutrition.

    The dietitian also provides an outpatient service for those patients with complex needs which may include ongoing enteral tube feeding at the point of discharge if the patient is being actively managed by a SASH consultant.

  • Paediatric nutritional services

    The paediatric dietetic team are registered dietitians who specialise in the nutritional care of infants and children up to the age of 16.

    The team provide inpatient services to children on Outwood Ward and the Neonatal Unit from 8:30am – 4:30pm, Monday to Friday (excluding bank holidays).

    The paediatric dietitians typically see children with following conditions:

    • Faltering growth
    • Allergy
    • Diabetes
    • Gastroenterology
    • Neonatology
    • Complex feeding difficulties
    • Cystic Fibrosis
    • Oncology

    Outpatient services are provided at East Surrey Hospital and Crawley Hospital. The paediatric dietitians attend multidisciplinary specialist clinics for children with Cystic Fibrosis. They also work with the neonatal outreach team supporting babies on discharge from the Neonatal Unit.

    Referrals

    The paediatric dietetic team accepts dietetic referrals from SASH consultants.

    We do not accept referrals from GPs or community health professionals.

    For all community enquiries please contact the community paediatric dietitians based at Crawley Hospital on 01293 600 406 x4063.

  • Surgery

    The surgical dietitian provides an inpatient service across adult surgical wards at East Surrey Hospital. Surgery can present many barriers to good nutrition, and may increase an individual’s nutritional requirements. The surgical dietitian is able to offer nutrition support (oral, enteral or parenteral) to help patients improve or maintain their nutritional status both before and after surgery. The surgical dietitian has a special interest in the role of nutrition in enhanced recovery after surgery, and works with the wider multi-disciplinary team to implement this.

    The dietetic service is also able to offer tailored dietary advice for outpatients with conditions that are managed surgically, e.g. pancreatitis, high output stomas or bowel fistula, and can support patients who may have developed post-operative complications and require ongoing nutrition support (oral or enteral) after an inpatient stay.

  • Stroke

    The stroke specialist dietitian will assist in aiding the nutritional adequacy of patients requiring a modified diet. This can be challenging and further complicated if the patient is admitted in a poor nutritional state, finds it difficult to tolerate a different consistency or has weakness on the more dominant side making it more difficult to eat. In these cases high energy drinks or puddings may be prescribed to supplement the patients intake or the dietitian may liaise with the occupational therapists to provide the patient with adapted cutlery.

    In some cases it may be completely unsafe for a patient to swallow following a stroke and to do so would increase the risk of pneumonia. Dysphagia affects a third of all patients who have suffered a stroke, so the stroke specialist dietitian would work closely with the speech therapists to aid recovery, where possible.

    The specialist stroke dietitian can help liaise with the family, medical team and other health care professionals for the best interests of the patient and whether to support the patient with artificial nutrition support or a temporary or more permanent basis. It is the dietitian’s responsibility to ensure that a feed contains the right amount of energy, protein and vitamins and minerals to help sustain the patient.

    The dietitian can also offer specialist stroke prevention advice prior to the patient returning home.

Dietitians